Provider Demographics
NPI:1265549596
Name:GERMANO, MARILYN FRANCES (PHD)
Entity type:Individual
Prefix:DR
First Name:MARILYN
Middle Name:FRANCES
Last Name:GERMANO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10827 NE 68TH ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-4000
Mailing Address - Country:US
Mailing Address - Phone:425-802-2044
Mailing Address - Fax:425-739-6855
Practice Address - Street 1:10827 NE 68TH ST
Practice Address - Street 2:SUITE A
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-4000
Practice Address - Country:US
Practice Address - Phone:425-802-2044
Practice Address - Fax:425-739-6855
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY00002512103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical